Organization

Advanced Therapeutics & Massage Inc

Massage Therapist in Lady Lake, FL(View on Map)

Legal Business Name

Advanced Therapeutics & Massage Inc

NPI Number

1649483785

NPI Type

Organization

Enumeration Date

05/07/2007

Specialties

(Taxonomies)

Code

225700000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1086
13690 US HWY 441

City

Summerfield
Lady Lake

State

FL
FL

Postal Code

34492-1086
32159

Country

US
US

Telephone Number

(352) 750-0678
(352) 750-0678

Authorized Official

Name

Mrs. Rosemarie Jacques

Title or Position

TREASURER

Telephone Number

(352) 750-0678

Identifiers

Identifier

C7261

Identifier State

FL

Identifier Issuer

BLUE CROSS BLUE SHIELD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

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